| NPI | 1578114427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-20-44437) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2021-02-20 |